Coronial

34 results for reduced consciousness

VIChospital2020-10-21

Finding into death of Baby ABA

0y · Female·Head injury

… with no apparent serious injury. The following morning she displayed concerning signs including bruises, reduced responsiveness, and dry mouth. Parents did not seek medical attention immediately despite a previously wi…

paediatricsintensive caredelay
NSW2016-09-12

Inquest into the death of M

15y · Female·hypoxic brain damage due to multiple drug toxicity

…r enforce house rules effectively. Earlier medical intervention when she was first observed in altered consciousness (approximately 6am, before cardiac arrest at 11am) might have saved her life with respiratory support.…

emergency medicinetoxicologydelaysystemheroin
VIChospital2024-08-12

Finding into death of Heather Maree Smith

64y · Female·Complications of hospital acquired pneumonia and COVID-19 infection

…December with increased work of breathing and was readmitted on 25 December. She died on 28 December with reduced consciousness, hypoxia, and deranged electrolytes. The coroner found the death was due to natural causes …

general practiceemergency medicineantibiotics
VIChome2025-04-17

Finding into death of Thomas Vale

Unknown·Toxicity to protonitazene

…e awareness of novel synthetic opioid circulation, recognition of overdose signs (respiratory depression, reduced consciousness, pinpoint pupils), and availability of naloxone. Prevention requires drug checking services…

toxicologyforensic medicineprotonitazene
ACThospital2014-03-03

Findings Into The Death Of Sukanya Thurairajah

56y · Female·hypoxic ischaemic encephalopathy due to inadvertent oesophageal intubation and f…

Sukanya Thurairajah, 55-year-old with multiple comorbidities including obesity, diabetes, coronary disease, and metastatic breast cancer, underwent haemodialysis at Canberra Hospital on 29 July 2011. She had an adverse r…

anaesthesiaintensive careproceduralcommunicationhydrocortisone
VICaged care2025-03-14

Finding into death of Maria Grazia Nardiello

90y · Female·Surgical repair of fractured neck of femur sustained in a fall complicated by CO…

…falling in a corridor. The fracture was successfully repaired surgically, but Maria developed hypoxia and reduced consciousness due to concurrent COVID-19 infection and died in palliative care. The coroner found no inte…

geriatric medicineorthopaedic surgerysystem
VIC2016-02-24

Finding into death of Andrew Hepple Pattison

39y · Male·Positional asphyxia in a setting of intoxication and minor head injury

Mr Andrew Hepple Pattison, a 39-year-old regular patron of the Footscray Club, died from positional asphyxia after falling down stairs while heavily intoxicated. He had consumed approximately 10-12 pots of beer and was a…

emergency medicineforensic medicinecommunicationdelayalcohol
QLDhome2013-04-16

Borusiewicz, Luke Anthony

2y · Male·head injury due to accidental fall from bed

Luke Borusiewicz, a 2-year-old in foster care, died from severe head injuries sustained in an accidental fall from a bed on 12 January 2009. The foster carer, Joy (age 74), had taken him into care on 24 December 2008 aft…

emergency medicineneurosurgery
TASaged care2015-11-12

Coroner's Finding: Henri, Paul Lucien

78y · Male·Cerebral infarction and hypoxic brain damage due to the combined effects of isch…

…acing tramadol. Critical clinical errors included: initiating morphine at standard adult dose rather than reduced geriatric dose (15mg recommended); failing to recognise that tramadol provides insufficient cross-toleran…

general practiceneurologymedicationdiagnosticmorphine
VICcommunity2011-04-20

Finding into death of Shida Li

33y · Male·Drowning and head injury

Shida Li, a 33-year-old Chinese international student, drowned after being washed off rocks at Cape Schanck while rock fishing on Christmas Day 2009. He was knocked into the sea by a large wave within moments of arriving…

system
NSWhospital2019-10-08

Inquest into the death of George Kimpton

80y · Male·Vasodilatory shock and multi-organ failure secondary to aspiration and cardiores…

…hat evening he developed respiratory distress, vomited copiously, aspirated gastric contents, and lost consciousness. The coroner found no fault with clinical decisions to remove the nasogastric tube or continue PCA mor…

colorectal surgerygeriatric medicinecommunicationsystemmorphine
VICaged care2026-05-06

Finding into death of Cornelia Groot

87y · Female·Complications of head injuries and left proximal femur fracture sustained in a f…

An 87-year-old woman with Parkinson's disease sustained an unwitnessed fall at a residential aged care facility, resulting in head injuries and a hip fracture. Critical clinical lessons emerged: (1) neurological observat…

geriatric medicineemergency medicinediagnosticcommunicationoxycodone
VIChospital2025-07-30

Finding into death of YTR

78y · Female·Complications of prolonged immobility and malnutrition in a woman with retroperi…

…e before paramedics found her in poor condition with Grade 4 pressure ulcers, hypothermia, and altered consciousness. The autopsy revealed osteomyelitis and sepsis from pressure sore infection, rhabdomyolysis, and sever…

geriatric medicineintensive caredelaysystemasenapine
QLDhospital2017-09-20

Mrs R-W - Non-inquest findings

83y · Female·Hyponatraemic encephalopathy due to adverse effects of citaprolam and duloxetine…

An 83-year-old woman with pre-existing SIADH-related chronic hyponatraemia died from hyponatraemic encephalopathy following antidepressant therapy. Critical clinical lessons include: (1) the importance of accessing prior…

general medicineemergency medicinediagnosticmedicationcitalopram

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